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加拿大整脊疗法行业的研究重点:一项采用改良德尔菲技术的共识研究。

Research priorities of the Canadian chiropractic profession: a consensus study using a modified Delphi technique.

作者信息

French Simon D, Beliveau Peter J H, Bruno Paul, Passmore Steven R, Hayden Jill A, Srbely John, Kawchuk Greg N

机构信息

School of Rehabilitation Therapy, Queen's University, Louise D. Acton Building, 31 George St, Kingston, ON K7L 3N6 Canada.

Department of Chiropractic, Macquarie University, Sydney, NSW Australia.

出版信息

Chiropr Man Therap. 2017 Dec 12;25:38. doi: 10.1186/s12998-017-0169-4. eCollection 2017.


DOI:10.1186/s12998-017-0169-4
PMID:29255593
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5727882/
Abstract

BACKGROUND: Research funds are limited and a healthcare profession that supports research activity should establish research priority areas. The study objective was to identify research priority areas for the Canadian chiropractic profession, and for stakeholders in the chiropractic profession to rank these in order of importance. METHODS: We conducted a modified Delphi consensus study between August 2015 and May 2017 to determine the views of Canadian chiropractic organisations (e.g. Canadian Chiropractic Association; provincial associations) and stakeholder groups (e.g. chiropractic educational institutions; researchers). Participants completed three online Delphi survey rounds. In Round 1, participants suggested research areas within four broad research themes: 1) Basic science; 2) Clinical; 3) Health services; and 4) Population health. In Round 2, researchers created sub-themes by categorising the areas suggested in Round 1, and participants judged the importance of the research sub-themes. We defined consensus as at least 70% of participants agreeing that a research area was "essential" or "very important". In Round 3, results from Round 2 were presented to the participants to re-evaluate the importance of sub-themes. Finally, participants completed an online pairwise ranking activity to determine the rank order of the list of important research sub-themes. RESULTS: Fifty-seven participants, of 85 people invited, completed Round 1 (response rate 67%). Fifty-six participants completed Round 2, 55 completed Round 3, and 53 completed the ranking activity. After three Delphi rounds and the pairwise ranking activity was completed, the ranked list of research sub-themes considered important were: 1) Integration of chiropractic care into multidisciplinary settings; 2) Costs and cost-effectiveness of chiropractic care; 3) Effect of chiropractic care on reducing medical services; 4) Effects of chiropractic care; 5) Safety/side effects of chiropractic care; 6) Chiropractic care for older adults; 7) Neurophysiological mechanisms and effects of spinal manipulative therapy; 8) General mechanisms and effects of spinal manipulative therapy. CONCLUSIONS: This project identified research priority areas for the Canadian chiropractic profession. The top three priority areas were all in the area of health services research: 1) Integration of chiropractic care into multidisciplinary settings; 2) Costs and cost-effectiveness of chiropractic care; 3) Effect of chiropractic care on reducing medical services.

摘要

背景:研究资金有限,支持研究活动的医疗行业应确定研究重点领域。本研究的目的是确定加拿大整脊行业的研究重点领域,并让整脊行业的利益相关者对这些领域按重要性进行排序。 方法:我们在2015年8月至2017年5月期间进行了一项改良的德尔菲共识研究,以确定加拿大整脊组织(如加拿大整脊协会;省级协会)和利益相关者群体(如整脊教育机构;研究人员)的观点。参与者完成了三轮在线德尔菲调查。在第一轮中,参与者在四个广泛的研究主题内提出研究领域:1)基础科学;2)临床;3)卫生服务;4)人群健康。在第二轮中,研究人员通过对第一轮中提出的领域进行分类创建子主题,参与者对研究子主题的重要性进行评判。我们将共识定义为至少70%的参与者认为一个研究领域“至关重要”或“非常重要”。在第三轮中,向参与者展示第二轮的结果,以重新评估子主题的重要性。最后,参与者完成了一项在线成对排序活动,以确定重要研究子主题列表的排序。 结果:在邀请的85人中,有57人完成了第一轮(回复率67%)。56人完成了第二轮,55人完成了第三轮,53人完成了排序活动。经过三轮德尔菲调查和成对排序活动完成后,被认为重要的研究子主题的排序列表如下:1)将整脊治疗纳入多学科环境;2)整脊治疗的成本和成本效益;3)整脊治疗对减少医疗服务的影响;4)整脊治疗的效果;5)整脊治疗的安全性/副作用;6)针对老年人的整脊治疗;7)脊柱手法治疗的神经生理机制和效果;8)脊柱手法治疗的一般机制和效果。 结论:该项目确定了加拿大整脊行业的研究重点领域。前三个优先领域均属于卫生服务研究领域:1)将整脊治疗纳入多学科环境;2)整脊治疗的成本和成本效益;3)整脊治疗对减少医疗服务的影响。

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Identifying and prioritizing research to inform a research agenda for Canadian chiropractors working in sport - the Canadian sports chiropractic perspective.

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A qualitative study investigating research priorities and investigative capacity in sports-focused chiropractic research, part 1 - identifying research priorities to inform a Delphi study.

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[7]
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BMC Health Serv Res. 2020-7-9

[8]
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J Can Chiropr Assoc. 2019-8

[9]
Low back pain: a major global problem for which the chiropractic profession needs to take more care.

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[10]
Informing a research agenda for the Canadian chiropractic profession.

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本文引用的文献

[1]
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J Can Chiropr Assoc. 2017-12

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J Can Chiropr Assoc. 2016-3

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A modified Delphi consensus study to identify UK osteopathic profession research priorities.

Man Ther. 2014-10

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Chiropr Man Therap. 2014-2-10

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